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LEON, Nicaragua — Three generations of women, each barely more than 15 years apart, operate a family business near Leon’s central market.On a nearby corner, a 19-year-old breastfeeds her tiny baby. Nicaraguans have children at an extraordinarily young age. If a woman reaches 20 and does not have at least one child, friends feel sorry for her and say, “The train has left the station.” According to the World Bank, Nicaragua has the highest teenage pregnancy rate in Latin America, and one of the highest in the world.

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A related story traces the origin back further, saying that chief Nicarao took his name from his own people, who derived the name based on the geographic location of their land.Instituto El Catolico Nuestro Senor de Milagros (El Catolico) is a private secondary school in town with an excellent record.All of their students who take the exams to enter college pass these exams, and students graduating from this school have a much better chance at success in their lives.Her mother takes care of the baby while she and her partner pursue university degrees.She's one of several women interviewed for this story about their experiences with pregnancy at a young age.Last year’s records from health centers in Leon, the country's second largest city, and nearby communities show 32 percent of pregnancies are adolescent.